How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $2,511.89 | Facility | None | $562.34 | $1,122.02 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,238.72 | Facility | None | $562.34 | $794.33 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $1,148.15 Typical High $3,801.89 | Professional | None | $457.09 | $1,148.15 | $3,801.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,698.24 | $2,454.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,479.11 | Facility | None | $489.78 | $660.69 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $794.33 Typical High $2,951.21 | Professional | None | $389.05 | $794.33 | $2,951.21 |
Fallon Health Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $5,888.44 | Facility | None | $794.33 | $1,288.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,737.80 | Professional | None | $457.09 | $758.58 | $1,737.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,238.72 | Facility | None | $562.34 | $794.33 | $2,238.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $1,148.15 Typical High $3,801.89 | Professional | None | $457.09 | $1,148.15 | $3,801.89 |
United Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $912.01 | Facility | None | $676.08 | $758.58 | $912.01 |
United Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $1,445.44 | Professional | None | $302.00 | $457.09 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,318.26 | Facility | None | $602.56 | $831.76 | $1,318.26 |
Well Sense Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | None | $602.56 | $602.56 | $724.44 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Facility | QW · Waived lab test | $758.58 | $977.24 | $1,174.90 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 16th of 51
$794
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.